Individual provider · Type 1 NPI

Beau Anthony Gregersen, D.C

Chiropractor · New York, NY

NPI number 1013056456 Active

Practice location

330 W 58th St, SUITE# 407
New York, NY 10019-1827

Call (212) 765-6470 Map

Fax (212) 333-7346

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XX011304-1 (NY)
Chiropractor Primary 111N00000X10129 (TX)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1013056456

Beau Anthony Gregersen, D.C's National Provider Identifier is 1013056456, issued on Feb 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Sep 25, 2012.